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Contact Information:

DATE (MM/DD/YYYY)*

Your Name*

Business Name*

Contact Address*

Phone*

Email*

Website

How did you hear about us? *

Have you been to our office before? *

Yes

May we contact you? *

Yes

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Product & Market :

Product

Describe your product or service? How will it be made? *

Do you need raw materials? Where is it obtained?

Industry Sector

Retail

Service

Manufacturing

Franchise

Other

Market

Describe your target market. *

What is your share of the market?

Who is purchasing your product or service?

Who are your competitors?

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And More:

Market

What makes your product unique, or what gives you a competitive advantage? *

What benefits do your customers get from purchasing your products or services?

Describe your price structure and mark ups typically for this industry.

Describe your distribution plans.

Provide a description of your skills, knowledge, and experience in this industry. *

Sales and Marketing

How do you plan to promote your business? *

How are you bringing your product to the customer?

How much money will you spend on promotion?

Print $

Social Media $

YouTube $

Other $

OPERATING PLAN

How much funds are you planning to invest? *

What is the source of your investment?

How much space does your business require?

Have you chosen a location?

What are the advantages/disadvantages of the location?

How many employees are your hiring?

What are their responsibilities?

360 Start Up Program Client Intake Form

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